vital signs
DESCRIPTION
Vital Signs. Pulse. A blood wave created by contraction of the left ventricle. What is the Pulse?. Compliance : Ability of the arteries to contract and expand. Cardiac output : the volume of the blood pumped in the arteries = SV X HR. Age Gender Exercise Fever Medications Hypovolemia - PowerPoint PPT PresentationTRANSCRIPT
Compliance : Ability of the arteries to contract and expand.
Cardiac output: the volume of the blood pumped in the arteries = SV X HR.
Factors affecting the pulse
Age
Gender
Exercise
Fever
Medications
Hypovolemia
Stress
Position changes
Pathology
PERIPHERAL PULSE
APICAL PULSE
-infants and children up to 3 years of age
-used once there is discrepancies with radial pulse
-in conjunction w some medications such as Digoxin.
Pulse sitesTemporal-when radial not accessibleCarotid-cardiac arrest, circulation to the brainApicalBrachial-Bp, cardiac arrest in infantsRadial- most common and accessibleFemoral-cardiac arrest, infant and children, POVDPopliteal, POVD, Posterior tibial, Foot circulationPedal (dorsalis pedis), foot circulation
Arteries in the arm – Brachial– Ulnar– Radial
Arteries in the leg– Femoral– Popliteal– Posterior tibial
– Dorsalis Pedis
Arteries in the arm – Brachial– Ulnar– Radial
Arteries in the leg– Femoral– Popliteal– Posterior tibial
– Dorsalis Pedis
Peripheral blood vesselsPeripheral blood vessels
Assessing pulse
Palpation (60 sec.)
Middle three fingers
Using stethoscope
Doppler ultrasound
Moderate pressure
Aware of (medications, activity, position)
Assessing Apical pulse
Explain procedure
Privacy
Supine, or sitting position
Point of maximal impulse (PMI)
5th. Intercostal space MCL.
Clean ear piece and diaphragm by antiseptic gel
Warm diaphragm before use
Assess for “lub-dub”
Assessing pulse
Rate : tachycardia (100B/m), bradycardia (60B/m)
Rhythm : dysrhythmia, arrhythmia (ECG)
Volume : full bounding, weak, feeble, thready
elasticity : straight, smooth, soft, pliable
Pulse deficit : any discrepancy b/w apical-radial pulses.